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no / Background  Vitiligo is an acquired, idiopathic, and worldwide common depigmentation disorder with an estimated prevalence from 0.1 to 8%. These numbers are based on clinical population studies and field research examining inhabitants of geographically enclosed areas. Our aim was to collect all available data on the prevalence of vitiligo in the general population, paying particular attention to children/adolescent groups and adults. Materials and methods  Screening of available literature and online databases using several key words. Results  We found more than 50 studies that used several methods and subgroups of the general population. The prevalence of vitiligo ranges from 0.06 to 2.28%, whereas this was 0.0–2.16% in children/adolescents populations. Conclusions  The often cited prevalence of 8% could not be confirmed after excluding clinical patient populations. Accordingly, the worldwide prevalence of vitiligo ranges between 0.5 and 2%.

Background: According to the existing evidence base, the experience of ending therapy, from the perspectives of adolescents who are looked after, is substantially under researched. Moreover, the ending of therapy is highlighted as an important phase of the therapy process and previous research into ending therapy indicates this as a valuable area of research. The available literature indicates that those with a history of loss may find the ending phase particularly challenging. It was hoped that the research findings may assist Clinical Psychologists and other therapists to make sense of how young people experience ending therapy, and may also highlight ways in which therapists can support looked after young people through this transition. Aims: The study aims to provide an in-depth understanding of the way in which young people who are looked after make sense of ending psychological therapy. Methodology: Semi-structured interviews were conducted with six looked after adolescents who had recently ended psychological therapy. The transcripts of the interviews were then analysed using Interpretative Phenomenological Analysis (IPA). Results: Four master themes emerged from analysis: inextricable link between therapy and therapy relationship, ambivalence, means of coping and moving on from therapy. Implications and Conclusion: This study highlights the need for careful and on going consideration of the ending phase of therapy with this population. It also gives further support to the significance of the therapeutic relationship and consideration of this at the end of therapy. Areas for future research are highlighted, notably the value of conducting further research with looked after young people, to explore factors such as culture and gender on the experience of ending therapy.

The purpose of this study was to examine psychosomaticsymptomsissuesamongst children and adolescents between the ages of 0-18 years and to clarify the underlying factors.Method: Literature study based on 10 scientific articles.Results: Psychosomatic issues amongst children and adolescents, due to stress, were common in Europe and Scandinavia. The symptoms varied between gender and age. The underlying factors were mainly school environmental issues, home conditions, socio-economic situations and disputes with teachers and peers. The symptoms varied from headache, gastro intestinal problems and insomnia to eating disorders, depression and pounding heart.               Conclusion: The future of children’s psychosomatic health depends on interventions on all levels of society since they are affected by everything from school environment and home conditions to unemployment and recession. / Syftet med denna studie var att belysa psykosomatiska symptom hos barn och ungdomar i åldrarna 0-18 år samt tydliggöra bakomliggande orsaker.Metod: Litteraturstudie baserat på 10 stycken vetenskapliga artiklar.Resultat: Barn i Europa, främst Skandinavien, upplevde olika psykosomatiska symptom till följd av stressande händelser och dessa symptom varierade även mellan ålder och kön. Skolmiljön var en stor utlösande faktor, likväl som hemförhållanden, socioekonomisk situation och osämja med lärare, jämnåriga och familjemedlemmar. Symptomen var allt från huvudvärk, mag- tarmproblem och sömnsvårigheter till nedstämdhet, ätstörningar och hjärtklappning.Slutsats: Barns framtida psykosomatiska hälsa är beroende av insatser på alla nivåer i samhället, då de påverkas av allt från skolmiljöerna de befinner sig i och hemförhållanden, till arbetslöshet och lågkonjunktur.

Introduction: This thesis had two primary aims. The first aim was to systematically review the literature investigating trauma symptoms in children and adolescents aged five to eighteen years who had been exposed to domestic abuse. The second aim was to complete an empirical study investigating predictors of trauma symptoms and the relational nature of trauma in women and children aged five to eighteen years who had been exposed to domestic abuse. Method: For the first aim, a systematic literature search identified eligible studies that met predefined inclusion criteria. Following data extraction, the studies were rated against methodological quality criteria. For the second aim, using a quantitative, cross-sectional design, 84 women self-reported on experiences of domestic abuse, symptoms of depression, anxiety, stress and trauma and their child’s trauma symptoms. Analyses investigated the relationship between exposure to domestic abuse and trauma symptoms, predictors of trauma symptoms and whether maternal trauma symptoms moderated the relationship between exposure to domestic abuse and child trauma symptoms. Results: The systematic review identified 14 studies that were eligible for inclusion. Two studies were rated as high quality, ten as acceptable quality and two as low quality. A consistent relationship between exposure to DA and trauma symptoms in children and adolescents was reported, regardless of study quality. The empirical study found a significant relationship between exposure to physical and psychological abuse and trauma symptoms in children aged five to eighteen years. Maternal trauma symptoms were both significantly correlated with and a significant predictor of child trauma symptoms supporting the relational nature of trauma in this population. The interaction was not significant, indicating that maternal trauma symptoms was not a moderator, and the relationship between domestic abuse and child trauma symptoms was present at low, medium and high levels of maternal trauma symptom severity. Conclusion: Across included studies the systematic review found a consistent but variable prevalence of PTSD and trauma symptoms in children and adolescents exposed to domestic abuse, highlighting the importance of assessment and evidence based intervention in this population. Results should be interpreted whilst taking into account the strengths and limitations of individual studies and the overall review. The majority of children in the research study were experiencing trauma symptom severity within the range of clinical concern. The relational nature of trauma was supported in mothers and children exposed to domestic abuse highlighting that treatment should be family based and delivered concurrently to mothers and their children. Results are discussed and should be interpreted whilst considering the limitations discussed.

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No / Background  Vitiligo is an acquired, non-contagious depigmentation disorder involving a patchy loss of skin color. It often leads to stigmatization, embarrassment, and reduced quality of life (QoL) in adult patients. Little is known about children’s reactions. Objectives  This study aimed to explore disease-related QoL and experiences in a multinational group of children and adolescents. Methods  Quality of life, disease-related experiences and behavior, and sociodemographic data were examined in 24 boys and 50 girls (age range: 7–17 years) using the Children’s Dermatology Life Quality Index (CDLQI) and additional questions. Eighteen children without skin disorders served as age-, sex- and skin color-matched controls. Results  The mean disease duration was 3.5 years. The most common sites of onset were the trunk, legs, and head and neck. Overall, 35.1% of the 74 subjects reported a positive family history, 91.9% had visited a doctor, and 75.7% had received treatment. Two-thirds (66.2%) were distressed by their vitiligo, and 93.2% had experienced low-key stigmatization, 44.6% nasty comments, and 21.7% bullying. A total of 24.4% had concealed their disease, and 29.7% had avoided situations because of vitiligo. Frequency of stigmatization influenced avoidant behavior. Parents, particularly mothers, and friends were important sources of support. Patients and controls had similar numbers of friends and leisure time activities. The mean CDLQI score of the group was low (2.8). Higher CDLQI scores were related to stigmatization, hiding of white spots, facial depigmentation, avoidance of situations, and a vitiligo-negative family history. Conclusions  Disease-related stigmatization, negative experiences, and avoidant behavior affect QoL. Therefore, the CDLQI should be combined with other instruments to screen for disease burden. These results call for the careful evaluation of young patients with vitiligo.

Research into bullying has been mainly quantitative, and of the few existing qualitative studies, fewer still have explored the perspectives of identified bullies. This study employs a mixed method design within a personal construct psychology perspective. The main research questions were: how do young people who bully others construe themselves and those whom they bully and what problems does bullying behaviour solve for those who bully. This was achieved by carrying out in-depth repertory grid analysis, content analysis of grid constructs and construct poles from self-characterisations. Participants were recruited from educational support centres, and were identified as individuals who display bullying behaviours. This study revealed that the participants tended to construe themselves in quite concrete terms, and as actively socially interactive. Participants construed themselves when bullying in terms of low tenderness, high forcefulness and emotional arousal. They construed typical victims in terms of high tenderness, low forcefulness and low status. The element „self when bullying‟ was found to be more elaborated and meaningful to the group than the element „self when not bullying‟. This might suggest that the participants have a more elaborated construct system in this area because it is causing them particular difficulties. Implicative dilemmas were identified for all the participants as potential barriers to change. For two participants this seemed directly relevant to understanding why their bullying behaviours may be difficult to change. Potential interventions drawing on personal construct psychology methods are discussed. One of this study‟s limitations was its small sample size, however the study shows support for using repertory grid methods to investigate bullying among young people and further research is recommended.

Creativity has received significant interest in variety of fields and disciplines with a major focus on individual level creativity. As more and more achievements started originating from groups, researchers turned their attention to creativity on group level. Current thesis explores the group creativity as well as flow experience in collaboration. It explores the group creativity phenomena and its correlates in different contexts, age groups and cultures. The overarching aim of the thesis is to extend our knowledge on group creativity and contribute to open questions in the field such as - How does (group) creativity develop? Which interpersonal and motivational processes play a role in group creativity? How can we measure group creativity? In four studies, the present research found that (social) flow can be explained by empathy and motivation of group members as well as domain of performance. To build on these results, the role of interpersonal processes in group creativity was explored with adults. While closeness was found to benefit group creativity, combination of closeness with perspective taking was harmful on creative performance. Moreover, with an aim to understand how group creativity develops, this thesis explored group creativity in children and adolescents from England and Turkey. Across these two samples, group creativity performance developed with age and advances in social perspective coordination was one mechanism explaining that development. Additionally, study conducted with Turkish children found task cohesion as a facilitator of group creativity. Major similarities in findings obtained from two samples implicated cultural universality in development of group creativity, however, slight differences in results pointed to the possibility of culture-specific differences in processes underlying group creativity. Finally, the current thesis contributed to literature by adopting and validating a collaborative story writing method as a promising measurement of group creativity. Overall, the studies presented in this thesis illustrate the role that interpersonal and motivational process play in group creativity practices of different age groups and cultures. Findings lead us to the next steps on the adventurous discovery of group creativity.